New Patients Center
Patient Registration
We know your time is precious and life is busy, so we have made our new patient forms available for download. Simply print your forms, fill them in before your appointment, and bring them along to the office. These forms help us get to know you better and quicken your first appointment at Atlanta Place Dentistry.
If you have any questions, you can either call us or ask when you come along for your visit.
Financing & Insurance
Payment Options
For your convenience, we accept a number of payment methods:
Payment is due at the time of service. Please review our financial policy for details.
We will send you a monthly statement. Most insurance companies will respond within four to six weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated. We can make arrangements for a monthly payment plan, but this must be accomplished prior to the actual procedure.
1. Payment is due at the time of services. An estimate of your total fee will be outlined in detail with you at the time of your initial visit.
2. On treatment involving laboratory fees (crowns, bridges, dentures), you may choose to pay in halves. Our Financial Coordinator will assist you in setting this up.
3. Patients with insurance: As a courtesy, our office will file your insurance if you provide us with the proper information. You are expected to pay your deductible and any out-of-pocket portions at the time services are rendered. We will accept benefits for the remaining balance. In the event your insurance overpays, we will refund you promptly. If your insurance company does not make payment within 45 days, you are immediately responsible for the remaining balance.
4. Finance charge: If an account, which is the patient’s responsibility, is not paid in full within 30 days a 1.5% finance charge will be added to the account balance per month.
5. Missed appointment fee: We reserve an exclusive block of time for your appointment with us and we ask for your consideration in giving us at least 24 hours notice for a hygiene appointment and at least 48 hours for a dental appointment that you might need to reschedule.
6. Returned checks: There is a fee of $25.00 for any check returned by the bank.
7. For your convenience: We accept Visa, MasterCard, and Discover cards. We can also assist you in obtaining financing through CareCredit, MyMedicalLoans.com, and we are always seeking additional lenders.
Insurance Solutions
As your dental partners, we genuinely want you to make the most of your benefits. Therefore, our experienced team will help process your insurance claims and can answer any questions you may have. We accept the majority of insurance plans and strive to help you wherever possible.
No Dental Benefits? You're Covered.
Dr. Jelsing believes that dentistry in Tulsa should be accessible to the masses and therefore works with you to meet your needs. If you are not insured, our team can create an individualized in-house payment plan. These options are customized to suit your financial needs and dental treatment plan.
Please speak with a member of our front desk team for more information.
We will send you a monthly statement. Most insurance companies will respond within four to six weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated. We can make arrangements for a monthly payment plan, but this must be accomplished prior to the actual procedure.
1. Payment is due at the time of services. An estimate of your total fee will be outlined in detail with you at the time of your initial visit.
2. On treatment involving laboratory fees (crowns, bridges, dentures), you may choose to pay in halves. Our Financial Coordinator will assist you in setting this up.
3. Patients with insurance: As a courtesy, our office will file your insurance if you provide us with the proper information. You are expected to pay your deductible and any out-of-pocket portions at the time services are rendered. We will accept benefits for the remaining balance. In the event your insurance overpays, we will refund you promptly. If your insurance company does not make payment within 45 days, you are immediately responsible for the remaining balance.
4. Finance charge: If an account, which is the patient’s responsibility, is not paid in full within 30 days a 1.5% finance charge will be added to the account balance per month.
5. Missed appointment fee: We reserve an exclusive block of time for your appointment with us and we ask for your consideration in giving us at least 24 hours notice for a hygiene appointment and at least 48 hours for a dental appointment that you might need to reschedule.
6. Returned checks: There is a fee of $25.00 for any check returned by the bank.
7. For your convenience: We accept Visa, MasterCard, and Discover cards. We can also assist you in obtaining financing through Care Credit, MyMedicalLoans.com, and we are always seeking additional lenders.
Dr. Priscila is an amazing dentist. She truly cares about her patients and goes above and beyond for them. She takes the time to talk to you and get to know you, instead of rushing you through the appointment. If you are in need of getting dental work done I would highly recommend her!
Candice S. (Actual Patient)
Enjoy a Spa-like Experience
What to expect at your first visit to our modern oasis in Midtown Tulsa.
Feel Special
We spend time getting to know you as a person rather than just a set of teeth.
Knee to Knee
Enjoy one-on-one care and open discussions with Dr. Priscila Jelsing.
Your Goals
We never jump right in but rather ask you about your concerns and expectations.
Your Exam
After we understand your goals, we explain each stage of your custom-made exam and thoroughly evaluate your dental health.
Hygiene Time
As part of your exam, we assess your hygiene, provide advice, and may recommend a state-of-the-art professional cleaning.
Planning for the Future
Once you have enjoyed your spa-like stay, Dr. Jelsing discusses her findings and creates a unique treatment plan for you.
